Ambulance personnel’s intention to quit and its associations: a multi-group comparison using structural equation modelling

Abstract

Purpose: This study aims to explore the intention to quit and its associations among ambulance personnel and to compare the intention to quit and its associations between paramedic and non-paramedic staff. Design/methodology/approach: A cross-sectional study was conducted on 492 Australian ambulance personnel. Participants were selected by stratified random sampling. Data were collected using phone interview-administered questionnaires. Descriptive analyses, bivariate associations and structural equation modelling were performed for data analysis. Findings: The study found that 70% of ambulance personnel intended to quit their jobs. Intention to quit was similar between paramedics and non-paramedic staff. In both staff groups, supervisors' and colleagues' support was associated with mental health symptoms; job satisfaction was associated with the intention to quit. Supervisors' and colleagues' support was indirectly associated with the intention to quit via increasing job satisfaction and reducing the experience of mental health symptoms among paramedics only. Mental health symptoms were directly associated with the intention to quit and indirectly associated with the intention to quit via reducing job satisfaction among paramedics only. Practical implications: The study findings provide evidence for resource allocation in human resource management. The findings suggest that interventions to increase job satisfaction may reduce the intention to quit for all ambulance personnel. Interventions to improve supervisors' and colleagues' support and to manage depression, anxiety and stress symptoms may help to reduce the intention to quit for paramedics only. Originality/value: This is the first study to model and compare the direct and indirect associations of intention to quit between paramedics and non-paramedic staff in ambulance personnel.